Investigating differential effects of interventions to prevent obesity in children and young people: a novel analytic framework
View abstract on PubMed
Summary
This summary is machine-generated.A new framework helps identify key features of childhood obesity prevention programs. This analysis of 255 interventions in children aged 5-18 years reveals factors influencing program effectiveness.
Area Of Science
- Public Health
- Childhood Obesity Prevention
- Intervention Science
Background
- Systematic reviews show modest benefits from interventions targeting diet and activity in children (5-18 years).
- Intervention effectiveness varies, potentially due to characteristics like enjoyment or behavior change mechanisms.
- A need exists for a framework to analyze these differential effects.
Purpose Of The Study
- To develop a novel analytic framework for identifying key characteristics of childhood obesity prevention interventions.
- To involve stakeholders, including children, parents, and teachers, in framework development.
- To present the finalized framework and results of coding interventions.
Main Methods
- Literature review to identify potential intervention characteristics.
- Development of a logic model and a comprehensive list of characteristics.
- Workshops with children, parents, teachers, and public health professionals to refine characteristics into a coding scheme.
- Coding of 255 interventions from 210 randomized trials using the finalized framework.
Main Results
- The finalized analytic framework includes 12 characteristics and 25 questions.
- Characteristics cover setting, delivery mode, target (diet/activity), complexity, intensity, flexibility, choice, mechanism of action, resonance, commercial involvement, and 'fun factor'.
- 255 interventions were coded, providing data for analysis.
Conclusions
- An evidence-based analytic framework, refined through stakeholder consultation (including children), was developed and applied to 255 childhood obesity prevention interventions.
- Rigorous methods and child involvement enhance the validity of the framework and coding results.
- The framework facilitates understanding of factors influencing intervention effectiveness in preventing childhood obesity.
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